Individual
DR. SANDRA JEAN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2222 NW LOVEJOY ST, SUITE 606, PORTLAND, OR 97210-3033
(503) 229-7554
(503) 274-5400
Mailing address
847 NE 19TH AVE STE 300, PORTLAND, OR 97232-2686
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD14284
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010066
—
WA
05
—
128835
—
OR
Enumeration date
08/18/2005
Last updated
07/21/2022
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